CLASS 2 MALOKLUZYONUN LAMİNATE VE TAM SERAMİK RESTORASYONLAR İLE ESTETİK REHABİLİTASYONU: VAKA SUNUMU

GIRIŞ: Ortodontik anomalilerin yaklasik 1/3’unu olusturan sinif 2 malokluzyonlar gerek klinik goruntuleri gerekse tedavi secenekleri acisindan cesitlilik gostermektedir. Bu vakada, metal destekli porselen koprulere kiyasla isik gecirgenligi iyi oldugundan, renk ve form acisindan daha dogal olan, protetik acidan da yuksek dayaniklilik ve estetige sahip tam seramik uygulamasi tercih edildi. VAKA SUNUMU: Agzinda mevcut eski kuronlarindaki estetik goruntu sikâyeti ile Ataturk Universitesi Protetik Dis Tedavisi Anabilim Dalina basvuran 23 yasindaki kadin hastaya ortodontik tedaviyi kabul etmediginden alternatif tedavi secenegi olarak protetik planlama yapildi. Oncelikle maksiller sag lateral ve sol santral dislerinin vestibule dogru olan akslari olmasi gereken acidan fazla oldugundan bu dislere kanal tedavisi yapildi, maksiller sol santral dise fiber post ve kompozit uygulandi. Daha estetik bir gulus yakalamak amaciyla, maksiller sag ve sol kanin disler, mevcut herhangi bir curuk, sekil ya da renk bozuklugu olmadigindan laminate kuron olarak prepare edildi, maksiller sag santral ve lateral ile sol santral ve lateral disler ise tam seramik kuron preparasyonuna uygun olarak shoulder basamak frezi ile prepare edilip silikon olcu maddesiyle daimi olculeri alindi. E.max tam seramik laminate restorasyonlar laboratuvarda hazirlandi ve rezin siman ile simante edildi. SONUC: Malokluzyonlarin tedavisinde protetik rehabilitasyon, hasta ortodontik tedaviyi kabul etmedigi durumda alternatif tedavi seceneklerinden biridir. Lityum disilikat ile guclendirilmis seramik restorasyonlarla yapilan tedavi sonrasinda estetik ve fonksiyon acisindan basarili sonuclar elde edilmis, kontrollerde hasta memnuniyeti saglanmistir. Anahtar Kelimeler: Malokluzyon, Laminate, Seramik restorasyon, Protetik rehabilitasyon REHABILITATION WITH LAMINATE AND FULL CERAMIC RESTORATIONS OF ANGLE CLASS II MALOCCLUSION: A CASE REPORT INTRODUCTION: Class 2 malocclusions, which constitute about 1/3 of orthodontic anomalies, vary in terms of clinical images and treatment options. In this case it was preferred to use a full ceramic application in which we can obtain more natural color and form, which has a good aesthetic appearance and durability. CASE REPORT: A 23-year-old female patient applied to the department of the prostodontics at Ataturk University Faculty of Dentistry with a complaint in the old crowns. Since she did not accept orthodontic treatment, prosthetic planning was performed as an alternative treatment option. Firstly, because the axes of the maxillary right lateral and left central teeth towards the vestibule were more than necessary. canal treatment was performed. Fiber post and composite were applied to the maxillary left central tooth. In order to achieve a more aesthetic smile, the maxillary right and left canine teeth were prepared as laminate crowns because there were no caries, deformations or discolorations. Maxillary incisive teeth were prepared with shoulder step drill in accordance with full ceramic crown preparation. CONCLUSION: Prosthetic rehabilitation in the treatment of malocclusions is one of the alternative treatment options if the patient does not accept orthodontic treatment. After the treatment with lithium disilicate reinforced ceramic restorations, successful results were obtained in terms of aesthetics and function, in the controls patient satisfaction was achieved. Key words: Malocclusion, Laminate, Ceramic Restoration, Prosthetic rehabilitation